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Hemodynamic Response To Device Titration In The Shunted Single Ventricle Circulation - A Patient Cohort Modeling Study, Chet Villa, Farha Zafar, Angela Lorts, Ethan Kung

Publications

Clinical outcomes of ventricular assist device (VAD) support for shunted single ventricle patients trail the larger population due in part to the challenges in optimizing VAD support and balancing systemic and pulmonary circulations. We sought to understand the response to VAD titration in the shunted circulation using a lumped-parameter network modeling six patient-specific clinical cases. Hemodynamic data from six patients (mean body surface area = 0.30 m²) with a systemic-to-pulmonary shunt was used to construct simulated cases of heart failure and hemodynamic response to increasing VAD flow from 5 to 10 L/min/m². With increasing VAD flow, …